南京市鼓楼区宫颈癌和癌前病变筛查结果分析  

Analysis of the Screening Results of Cervical Cancer and Cervical Intraepithelial Neoplasia in Gulou District of Nanjing

作　　者：冒志琴 MAO Zhiqin(Nanjing Gulou District Maternal and Child Health Center,Nanjing 210015,China)

机构地区：[1]南京市鼓楼区妇幼保健所,江苏南京210015

出　　处：《中外医学研究》2021年第29期72-75,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析南京市鼓楼区宫颈癌和癌前病变(CIN)筛查结果,以制定相应防治对策。方法:回顾性分析2019年1月1日-12月31日在南京市鼓楼区妇幼保健所进行宫颈癌及CIN筛查的9546例女性的临床资料,资料来源于妇科门诊、鼓楼区女干部体检及鼓楼区幼儿园教师体检。所有研究对象均先进行常规妇检,并行液基薄层细胞学检查(TCT),结果为阳性者,行阴道镜取活检检查。结果:9546例女性TCT检查阳性(ASC-US及以上)共199例,检出率为2.08%;199例行阴道镜取活检检查,其中宫颈炎89例,CINⅠ检出56例,CINⅡ检出36例,CINⅢ检出18例,未检出宫颈癌。不同年龄段CIN检出率比较差异有统计学意义(P<0.05),40~49岁CIN检出率占比最高。CIN患者中挖空细胞检出率例高于宫颈炎患者,各组间比较差异有统计学意义(P<0.05)。结论:南京市鼓楼区宫颈癌发病率整体较低,开展宫颈癌和CIN筛查对宫颈癌防治有重要意义,今后可加强健康宣教,提高健康意识,促进健康妇女主动参与宫颈疾病筛查,以有效预防CIN和宫颈癌的发生。Objective:To analyze the screening results of cervical cancer and cervical intraepithelial neoplasia(CIN)in Gulou district of Nanjing city,so as to formulate the corresponding prevention and treatment strategies.Method:The clinical data of 9546 women who underwent cervical cancer and CIN screening in Nanjing Gulou District Maternal and Child Health Center from January 1st to December 31th,2019 were retrospectively analyzed.The data were obtained from the gynecological clinic,physical examination of female cadres in Gulou district and physical examination of kindergarten teachers in Gulou district.All subjects underwent routine examination and thin-prep cytology test(TCT),and those who were positive underwent colposcopy biopsy.Result:Among 9546 women,199 were positive for TCT(ASC-US or above),with a detection rate of 2.08%.199 cases underwent colposcopy biopsy,89 cases of cervicitis were detected,56 cases of CINⅠwere detected,36 cases of CINⅡwere detected,18 cases of CINⅢwere detected,and no cervical cancer was detected.There was significant difference in the detection rate of CIN in different age groups(P<0.05).CIN detection rate was the highest in 40 to 49 years old.The detection rate of hollowed out cells in patients with CIN was higher than that in patients with cervicitis,there were statistically significant differences among all groups(P<0.05).Conclusion:The incidence rate of cervical cancer in Gulou District of Nanjing is low.It is very important to carry out cervical cancer and CIN screening for cervical cancer prevention and treatment.In the future,health education and health awareness can be strengthened to promote healthy women to actively participate in cervical disease screening,so as to effectively prevent the occurrence of CIN and cervical cancer.

关 键 词：宫颈癌 癌前病变 液基薄层细胞学技术 

分 类 号：R737.33[医药卫生—肿瘤]